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Sample Record for 2016-09-27-10

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 209918 DEA: 07274804 EFIS: 0700000516 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-18-0.2
Work Description: REPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS.
Location Description: LOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD
Contractor Name: MCM Construction - Cliff Dawley
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Mansukh Vazirani Structure Rep.: Sarah Hartz

Sample Information

DIME Sample ID: 2016-09-27-10
TL Number from the TL Form: C970780
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 09/27/2016
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): PL16106027
Rebar Epoxy Batch Number(s): 3315294
Rebar Coating Specification: ASTM A775
Rebar Size (#): #5
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating
Rebar Powder Manufacturer: Axalta
Release Number: Unknown
Quality Assurance Code: Unknown
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2016-09-27-10-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 10/05/2016
Date Tested: 10/03/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 30 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 2 of 2

DIME Test ID: 2016-09-27-10-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 10/05/2016
Date Tested: 10/03/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
First Bar Mean 9.43 mils
Second Bar Mean 8.98 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.21 mils
Total number of values less than LSL no data
Total number of values greater than USL no data